Individual provider Active NPI

Ann Marie Walker, LCSW

  • Clinical Social Worker
  • Boise, ID
National Provider Identifier
1346707965
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW38218 Issued in ID
Practice address
4222 W Emerald St
Boise, ID 83706-2037
Phone
(208) 605-3663
Fax
(208) 605-3663
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW38218 ID Primary

Addresses

Primary practice location

4222 W Emerald St
Boise, ID 83706-2037

Mailing address

4222 W Emerald St
Boise, ID 83706-2037
Phone (208) 605-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203002657 ID Practitioner - Clinical Social Worker 3870965601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avanzar Wellness LLCGroup PAC ID 1557790854, 3 clinicians

Practice addresses (Care Compare)

10096 W Fairview Ave
Suite 160
Boise, ID 83704-5004
Phone (208) 908-7882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW38218IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc. Clinical CurrentSince Oct 1, 2025 Accepting new patients
Avanzar Wellness LLC CurrentSince Jan 26, 2023 Accepting new patients
Optum Behavioral Care of Ohio, Inc. Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

10096 W Fairview Ave
Ste 160
Boise, ID 83704
Phone (208) 908-7882

8800 W Emerald St
Boise, ID 83704
Phone (208) 373-5000

11513 W Fairview Ave
Ste 105
Boise, ID 83713
Phone (208) 908-7882

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1346707965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062037",
            "telephone_number": "208-605-3663",
            "fax_number": "208-605-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062037",
            "telephone_number": "208-605-3663",
            "fax_number": "208-605-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW38218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.